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Montana rates for HCPCS 57415

Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.73 / $279.73 / $279.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $280.80 / $297.27